Organization
METROCARE HOME MEDICAL - GREENFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM L POTEET (PRESIDENT)
(262) 345-3081
Entity
Organization
Contact information
Practice address
W188N11927 MAPLE RD, GERMANTOWN, WI 53022-6328
(262) 345-3081
(262) 250-0825
Mailing address
6825 W LAYTON AVE, GREENFIELD, WI 53220-3818
(262) 345-3081
(262) 250-0825
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0786520002
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41740300
—
WI
Enumeration date
12/28/2007
Last updated
12/28/2007
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